Lateral Access Spine Surgery (Videos)

 

 

This is an advanced keyhole technique performed through the patient’s side to access the disc space, avoiding the major muscle at the back. It utilizes a safe corridor between the spinal cord/ nerves at the back and major blood vessels/gut in the front. It has added advantages of avoiding nerve manipulation and preserves facets joint, unlike transforaminal inter-body fusion (TLIF) which requires removal part of joint to access the disc space. In selected cases, it can indirect decompress the nerves at the back through distraction and restoration of normal disc height with implant from the side. The patient can does avoid bony resection (laminotomy/laminectomy) with reduced blood loss and collateral muscle damage.  All patient can be mobilized immediately as comfort dictates and hasten the recovery time.